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HomeMy WebLinkAboutBLD2001-00233 BUILDING PERMIT ' Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 (800) 831-2678 PERMIT #: BLD01-00233 Received Date 04/20/2001 SITE ADDRESS: 213 BLANCHE AVE Issue Date 04/25/2001 PORT HADLOCK, 98339 Expiration Date 04/25/2002 APPLICANT: NANCY STRATTON PHONE: (360)385-4631 PO BOX 105 PORT HADLOCK WA 983390105 SUBDIVISION: MORRISSEY'S ADDITION Block: 2 Lot: 18-21 PARCEL NUMBER: 973500208 Section: 2 Township: 29 N Range: 01 W CONTRACTOR: OWNER PHONE: LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION NO MLA REQUIRED -COVER DECK REQUIRED INSPECTIONS: [ ] Setbacks (Shoreline Setbacks): [ ] Foundation: [ ] Underground Plumbing/Underground Insulation: [ ]]/Shear Wall: [� • ' tubing: €5/C 2l'G/4c:7 / [ ] Propane Tank/Lines: [ ] Insulation: [ I Sheetrock: [�;]� ina ccupancy proval: ✓c �����©/ HEALTH DEPARTMENT APPROVAL REQUIRED P OR TO'FINAL INSPECTION. THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS. Office Hours 9:00 a.m. -4:30 p.m. Inspector's Phone Hours 8:00 a.m. - 9:00 a.m. HOT LINE AVAILABLE 24 HOURS A DAY is\F_BLD_Permit_Buildng.rpt 10/29/19 r BUILDING PERMIT APPLICATION - Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD01-00233 Received Date: 4/20/2001 SITE ADDRESS: 213 BLANCHE AVE PORT HADLOCK, 98339 APPLICANT: NANCY STRATTON PHONE: (360)385-4631 PO BOX 105 PORT HADLOCK WA 983390105 SUBDIVISION: MORRISSEY'S ADDITION Block: 2 Lot: 18-21 PARCEL NUMBER: 973500208 Section: 2 Township: 29 N Range: 01 W CONTRACTOR: OWNER PHONE: ARCH ITECT/ ENGINEER : PROJECT DESCRIPTION: NO MLA REQUIRED - COVER DECK TYPE OF WORK MOB SQUARE FOOTAGE: TYPE OF IMP DEK MAIN: VALUATION 3,200.00 ADD'L: HEAT TYPE: UH CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: 320 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: CITY PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: Prop: Seismic Streams Total: Total: Flood Way Floodplain F&W Landslide Routing Date: 1/ > // i' Shoreline Aquifer_®, cam/ Forest: Commler•;:i . _ . _ s j — Type Amount Paid By: Date: �rRecei�pt • '• �-r. � •� Yp Receipt: P -a Permit $97.25 MAM 04/20/01 39920 Plan Check $29.18 MAM 04/20/01 39920 APR 2 2 1 State Building Code $4.50 MAM 04/20/01 39920 JEFFERSON COUNTY Total: $130.93 DEPT. OF COMMUNITY DEVELOPMENT SIGNATURE: i ti,.,z t 6, ram'-v'' E, 1 V E B , . o �1r=- ' Jefferson County I I artment of Community Devi o`unent 4,- j,-''''0 621 Sheridan Street,Past Townsend WA 88363[3601378-4450 w f ti • :• k R20Zia, rn A ° o Q O JE'' ERSON CCU!TY pipii - cal,,,,n `4 sA F C!IMMUNITY DEVELOPMENT . _ Project Description: C \S-- -il, Lam-- 4. i S c`t. �� -= - Building Type: Project Type: Frame Type: Single Family 0 New Wood ❑ Garage Attached/Detached A Addition ❑ Steel ❑ Modular 0 Alteration/Remodel ❑ Concrete ❑ Commercial 0 Repair ❑ Masonry ❑ Multi-family/#of Units li Demolition ❑ Other: ❑ Industrial ❑ Other: - Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: Existing: 1 Sewer ❑ Community System ❑ Electricity ❑ Oil Proposed: Proposed: Individual System ❑ Woodstove ❑ Propane Total: Total: If not sewer,fill out the following: ❑ Heat Pump ❑ Conventional Alternative LI Other Permit# SEP Water Supply: • Private well ❑ Two Party Well❑ Public:Name of water system: + Square Footage: For Office Use Only Main Floor UBC OCCUPANCY GROUP 2ND Floor Base fee 1[a -2• 23 3rd Floor Plan Check fee 9, al Htd Basement State Surcharge fee y .W �rU Unhtd Basement Subtotal l 'S O. ci 3 arage/Carport . _,._. -. Pot Water Review fee `4s7-_ CO�-Decks�� �' � C� 911/Rd Approach fee ' C mmercial TOTAL \ 3 0 — G 3 Industrial Receipt# / 0 Other $Cash/Check# � 1 D-7 Cc. Total Valuation: Initials /`G��i OrDate 2-i)1 L�Estimated Cost: If within 200' of the Shoreline, • Distance to Bank or Ordinary High Water Mark ft.Bank Height ft. By signing the application form,the applicant/owner attests that the information provided herein is true and correct to the best of their knowledge. Any material falsehood or any omission of a material fact made by the applicant/owner with respect to this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attomey's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to.rovide access and right of e try to J.fferson County and it's employees,representatives or agents for the purpose of application review and any required later inspections. Access and ri< t of en.. to the applican _.e .r structure s all be requested and shall occur during regular business hours. � �0 6Signatur. � _� - -- Date: :HOME\PLNCN ' INFO:LDG\FORMS\BLDpermitApplication1/2000 `,..L--.- /- r i Jefferson County Department of Community Development oN cow 621 Sheridan Street,Port Townsend WA 98368 (360) 379-445: `E C E Q V E ' ' $ Universal Plot Plan - APR 2 0 2001 .AI NG�o JEFFERSON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Fill in the following blanks as completely as possible: Project Description: 9 Digit Parcel Identification Number (from your tax statement): [ 5cC ',-C Vu Site Address - 911#: - Road Name: -e, .,-0,1..t / , Zip Code: 9 s 56 ci Legal Description _ Subdivision Name: N1 G r- i sSC 'S \ 2 , Block: . \< Z Lot(s): , , ,, ,c)1 m 41; Section: Township: Range: 0 1 cc)e-- [-Parcel Size (acres or square footage): 4; x 14/_ ", t A sLi, 6 s-S Sit: 1— ` Nc 7!� (_ Property Owner: S t.Cry.\Ac Phone: J L,_ c' . I Mailing Address: `..pc. ,n C' 'b1 ,r k ` �` \CSC J Applicant/Occupant: t Phone: (if different from owner) \ f Mailing Address: c�* j f Authorized Rep: l Phone: Mailing Address: li{ / P‘ General Contractor: Or Manufactured Home Installer: t\f\CON..1 .1C.}-Lk t` \-\--, (—-t(V Phone:N 1 3 - j j--(,,(`,S-O NaiLing, A-A—%Addr s'`�J1/�Fac 1 t', Y-;A- �= 1.� ►1;� L4 �1 onntractor's State License Number: t Expiration Date: ��., �S�z�-;ice Ivy -f e�.:2^73 1p i -�-) I Septic Designer: � - Phone: Mailing Address: b C c , Eti_S 1ken --t -9 t Architect:/Engineer: Phone: g __ C e i.)C �) \� Li \ Mailing Address: \ Loan Lender/General \ \ `` Phone: Contractor's Bond Holder: ' C.) r �t, \i-' ti.VLC' Mailing Address: FOR OFFICE USE ONLY Fire District: I Planning Area: I School District: Zone: 1 1/C0 H:\home\pincntr\forms\universal plot plan \, " r-'\ \ ?r°P --k d'J..�� J \� 7 1-- irliggar:Ir \ 'C' C T .--- r _ - �� l ;mi• l Itl 15 i L -- t ,, r., e Ni V p' 4 - C 3- ( . 9,1e\c/4\ i --- -'".<-7-----'-'i.\'9) r 2 -?'• , r, 0 ___...... , - ........_ . i — , . ...\_,,.... v., . , mac- _ - -- ! hl . .__c i ',.,4 ,:) .N.1 .• / i/1! • ______--...,...Tc-A ,_ .,,, _. - •I e \rr \ ,4 ,c`_) a- LA (---� ,, l ________ ' \\\ 1D ECIJWEr5 D E C r..E: {I W E \ SEP 1 9 2000 Lij _ A" "H 2 0 ',".,":1 J JEFFERSON COUNTY JEFFERSON COUNTY DEPT. OF COMMUNITY DEVELOPMENT DEPT. OF COMMUNITY DEVELOPMENT